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1316002611
ELAINE G DISTASI
NEW YORK, NY
NPI
1316002611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R050057-1)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Ms. ELAINE G DISTASI MSW, LCSW
157 E 86TH ST SUITE 2A
NEW YORK, NY 10028-2175
Phone number: 212-722-0183
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Mailing Address
Ms. ELAINE G DISTASI MSW, LCSW
157 E 86TH ST SUITE 2A
NEW YORK, NY 10028-2175
Phone number: 212-722-0183
Copy
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